A good breast augmentation needs to fit your chest, work with your existing breast tissue, and create a shape that feels believable on your frame.

At his private surgical center in Darien, board-certified plastic surgeon Dr. David Passaretti performs breast augmentation for women throughout Connecticut. He takes the time to understand how you want to look, then works backward from that vision to select an implant and surgical technique that make sense for your body.

Breast Augmentation Before & Afters

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Breast augmentation can produce very different results depending on your starting anatomy and preferences. View Dr. Passaretti’s before-and-after gallery to see how implant size, projection, and placement can be tailored to create balanced proportions across a range of body types.

What is Breast Augmentation?

Breast augmentation, also called augmentation mammoplasty, is a surgical procedure that increases breast volume with implants or fat grafting. It may be performed to enhance naturally small breasts, correct uneven breasts, or restore fullness lost after pregnancy or weight loss.

Breast implants have an outer silicone shell filled with either silicone gel or sterile saline. Dr. Passaretti generally prefers smooth silicone breast implants because they tend to feel and move more like natural breast tissue. Saline implants remain appropriate for some patients and can be filled after placement.

Fat transfer is another option for women seeking a smaller increase in breast size. Fat is removed from another area of your body, prepared, and injected into the breasts. The amount of enlargement possible is more limited, and some transferred fat will naturally be absorbed.

Breast Augmentation Benefits

Women choose breast augmentation for personal reasons, but common benefits include:

Fuller breasts that remain proportionate to your frame
Restored volume after pregnancy, breastfeeding, or weight loss
Improved symmetry between uneven breasts
More fullness through the upper breast
Better balance between your chest, waist, and hips
Greater flexibility when choosing clothing and swimwear
Improved comfort with your appearance and self-image

Breast augmentation patient model covering her breasts with her hands at her neck

Am I a candidate for Breast Augmentation?

You may be a good candidate for this cosmetic surgery if you want to increase fullness, restore lost volume, or improve breast symmetry. You should be in good general health, close to a stable weight, and able to approach surgery with realistic expectations.

Skin elasticity and nipple position also matter. Breast implants can fill mild looseness, but significant sagging usually requires a breast lift to raise the breast tissue and reposition the nipple. Dr. Passaretti will explain if augmentation alone can create the shape you want.

Pregnancy can change your breasts after surgery, although many women have augmentation before having children. Breastfeeding may still be possible, but any breast surgery can potentially affect milk production. Your future plans should be part of the consultation.

What issues does Breast Augmentation address?

Breast augmentation can improve naturally small breasts, volume loss, asymmetry, limited upper-breast fullness, and changes that have left the breasts looking deflated. It can also help create a more balanced figure when your breast size feels out of proportion with the rest of your body.

Implants shape the breast by adding volume. If loose skin has allowed the breast mound or nipple to fall substantially below the breast crease, combining augmentation with a breast lift usually creates a stronger result.

Breast Augmentation Surgery Consultation and Preparation

During your consultation, Dr. Passaretti will evaluate your breast tissue, chest wall, skin elasticity, nipple position, and natural asymmetries. He’ll ask about the appearance you want and help translate that into implant dimensions rather than relying on a cup-size request alone.

Your consultation will also cover implant types, incision placement, possible complications, and the expected recovery. Dr. Passaretti will review your medical history, medications, previous breast surgery, and any personal or family history of breast cancer. Depending on your age and medical record, updated breast imaging may be required.

You’ll need to stop smoking and using nicotine before surgery. Certain medications and supplements may also need to be paused because they can increase bleeding. Since breast augmentation surgery is performed under general anesthesia, you’ll need someone to drive you home and stay with you during your first night.

Your Breast Augmentation Surgery

Dr. Passaretti typically makes an inframammary incision within the breast crease or an incision around the areola. The placement depends on your anatomy, implant choice, and surgical plan.

He generally positions breast implants beneath the pectoral muscle. Although submuscular placement can involve a slightly longer recovery, the additional tissue coverage helps soften the implant’s edges and support a natural slope across the upper breast.

Implant selection continues in the operating room. After creating the pocket, Dr. Passaretti uses sterile implant sizers to evaluate different volumes against your chest and existing tissue. This allows him to choose the final implant according to how it looks on your body instead of committing to a number before surgery begins.

The incisions are then closed carefully, and you’ll return home the same day to begin recovery.

Breast augmentation patient model in black lingerie

Breast Augmentation Results

Your breasts will look fuller immediately after your plastic surgery, although early swelling and muscle tightness can make them appear higher and firmer than expected. This is temporary. Over the following weeks and months, the pectoral muscle relaxes, swelling decreases, and the breast implants settle into a softer, more natural position.

Your final breast shape depends on the implant selected, your existing breast tissue, skin elasticity, and chest proportions. Maintaining a stable weight can help preserve your results, although pregnancy, aging, and natural changes in breast tissue may affect your appearance over time.

Breast implants aren’t meant to last forever. Future surgery may become necessary because of breast implant rupture, capsular contracture, changes in your body, or a personal decision to revise your size.

Breast Augmentation Recovery

Soreness, pressure, and chest tightness are expected during early recovery, especially when the implants are placed beneath the pectoral muscle. Many patients compare the sensation to an intense chest workout. Prescribed medication can help manage discomfort during the first few days.

Most patients return to desk work and light daily activities within about one week. Walking is encouraged early, while heavy lifting, strenuous exercise, and upper-body workouts remain restricted until Dr. Passaretti confirms that your breast tissue has healed sufficiently.

You’ll wear a supportive surgical bra and attend follow-up appointments so Dr. Passaretti can monitor your incisions and implant position. Following his aftercare instructions gives your body the best conditions for comfortable healing and a stable result.

Why Dr. David Passaretti?

Dr. Passaretti has more than 20 years of experience in cosmetic and reconstructive breast surgery. His approach begins with careful measurement and an honest discussion about what will suit your body. He has access to a broad range of implant sizes in his private surgical center, allowing him to make the final selection with your proportions in full view.

A successful breast augmentation should feel specific to the woman receiving it. Dr. Passaretti builds each surgical plan around your anatomy instead of asking your body to accommodate a predetermined implant.

Breast Augmentation FAQs

Are silicone or saline implants better?

Both implant types are FDA-approved. Silicone implants generally feel softer and more similar to natural breast tissue, while saline implants are filled after insertion and immediately lose volume if the shell ruptures. Dr. Passaretti will explain which option better suits your tissue and preferences.

Will breast implants correct sagging breasts?

Implants may improve mild deflation by restoring breast volume. If your nipples sit low or you have considerable excess skin, a breast lift may be needed to create a higher breast contour.

What is capsular contracture?

Your body naturally forms scar tissue around every implant. Capsular contracture occurs when that surrounding tissue becomes unusually tight, causing firmness, discomfort, or a change in breast shape. Treatment depends on the severity of the condition.

Can I breastfeed after breast augmentation?

Many women can breastfeed after augmentation, although no surgeon can guarantee future milk production. Your incision, anatomy, and natural ability to produce milk can all affect breastfeeding.

Do breast implants need to be replaced every 10 years?

Breast implants don’t have an automatic expiration date. They should be monitored and replaced when a complication develops or when you want a different size or appearance.

Breast Augmentation Connecticut

Breast Augmentation Before & Afters

What is Breast Augmentation?

Breast Augmentation Benefits

Am I a candidate for Breast Augmentation?

What issues does Breast Augmentation address?

Breast Augmentation Surgery Consultation and Preparation

Your Breast Augmentation Surgery

Breast Augmentation Results

Breast Augmentation Recovery

Why Dr. David Passaretti?

Schedule Your Connecticut Breast Augmentation Consultation with Dr. David Passaretti Today

Breast Augmentation FAQs

Are silicone or saline implants better?

Will breast implants correct sagging breasts?

What is capsular contracture?

Can I breastfeed after breast augmentation?

Do breast implants need to be replaced every 10 years?

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